Using a new taxonomy to combine the uncombinable: integrating results across diverse interventions.

Researchers have examined numerous psychosocial and behavioral interventions intended to alleviate distress among family caregivers of persons with dementia. Many of these interventions are complex, combining numerous treatment components. Although some multicomponent interventions have been successful in reducing caregiver distress, the impact of specific elements of these interventions on outcomes is not known. The article presents results of an analytic approach that allows researchers to describe the individual elements of multicomponent interventions and to examine the relationships between those components and outcomes. This approach is successfully applied to interventions being evaluated in the Resources for Enhancing Alzheimer's Caregiver Health (REACH) program. The results indicate that actively targeting caregiver behavior is effective in achieving positive outcomes with respect to caregiver depression.

[1]  Risto Lehtonen,et al.  Multilevel Statistical Models , 2005 .

[2]  Richard Schulz,et al.  Effect of multicomponent interventions on caregiver burden and depression: the REACH multisite initiative at 6-month follow-up. , 2003, Psychology and aging.

[3]  Richard Schulz,et al.  A methodology for describing and decomposing complex psychosocial and behavioral interventions. , 2003, Psychology and aging.

[4]  S. Wisniewski,et al.  The Resources for Enhancing Alzheimer's Caregiver Health (REACH): project design and baseline characteristics. , 2003, Psychology and aging.

[5]  Richard Schulz,et al.  Dementia caregiver intervention research: in search of clinical significance. , 2002, The Gerontologist.

[6]  Paul Duberstein,et al.  How effective are interventions with caregivers? An updated meta-analysis. , 2002, The Gerontologist.

[7]  Helen Brown,et al.  Applied Mixed Models in Medicine , 2000, Technometrics.

[8]  B. Tarlow,et al.  The Cost of Recruiting Alzheimer’s Disease Caregivers for Research , 2000, Journal of aging and health.

[9]  R. Schulz.  Handbook on Dementia Caregiving: Evidence-Based Interventions for Family Caregivers , 2000 .

[10]  R. Schulz,et al.  Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. , 1999, JAMA.

[11]  Elena Losina,et al.  An introduction to hierarchical linear modelling , 1999 .

[12]  L. Sullivan,et al.  Tutorial in biostatistics. An introduction to hierarchical linear modelling. , 1999, Statistics in medicine.

[13]  Jan de Leeuw,et al.  Introducing Multilevel Modeling , 1998 .

[14]  L. Burgio,et al.  Interventions for Caregivers of Patients with Alzheimer's Disease: A Review and Analysis of Content, Process, and Outcomes , 1996, International journal of aging & human development.

[15]  Alison T. O'Brien,et al.  Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. , 1995, The Gerontologist.

[16]  M. Tinetti,et al.  The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. , 1995, JAMA.

[17]  B. Lebowitz,et al.  Stress effects on family caregivers of Alzheimer's patients : research and interventions , 1994 .

[18]  B. Knight,et al.  A meta-analytic review of interventions for caregiver distress: recommendations for future research. , 1993, The Gerontologist.

[19]  P. Truax,et al.  Assessment of behavioral problems in dementia: the revised memory and behavior problems checklist. , 1992, Psychology and aging.

[20]  R. Morrell,et al.  Medication adherence behaviors in older adults: effects of external cognitive supports. , 1992, Psychology and aging.

[21]  L W Poon,et al.  Effects of labeling techniques on memory and comprehension of prescription information in young and old adults. , 1990, Journal of gerontology.

[22]  D. Morrow,et al.  Increasing Influenza Vaccination Adherence Through Voice Mail , 1989, Journal of the American Geriatrics Society.

[23]  R. Toseland,et al.  Group interventions to support family caregivers: a review and analysis. , 1989, The Gerontologist.

[24]  The effect of patient-practitioner interaction on compliance: a review of the literature and application in rheumatoid arthritis. , 1988, Patient education and counseling.

[25]  M. Powell Lawton,et al.  Annual Review of Gerontology and Geriatrics , 1988, Springer Berlin Heidelberg.

[26]  Linda Teri,et al.  6/Use of the Center for Epidemiological Studies-Depression Scale with Older Adults , 1986 .

[27]  Robert S. Barcikowski,et al.  Statistical Power with Group Mean as the Unit of Analysis , 1981 .

[28]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[29]  M. Lawton,et al.  Assessment of older people: self-maintaining and instrumental activities of daily living. , 1969, The Gerontologist.

[30]  S. Katz,et al.  STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. , 1963, JAMA.